Foreign body ingestion is a rare but important clinical event. We herein describe a patient who was misdiagnosed with acute pancreatitis after inadvertent ingestion of a toothpick while drunk. The toothpick penetrated the stomach and migrated to the pancreas, resulting in abdominal pain for nearly 1 month. We present the clinical manifestations, diagnosis, and treatment of the patient and summarize the characteristics of patients with foreign body ingestion by a systematic literature review. This report illustrates an unusual of misdiagnosed acute pancreatitis caused by foreign body. This case reminds us to make full use of different diagnostic tools and multidisciplinary collaboration to leverage their complementary strengths and improve the diagnostic accuracy.
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